Background: Permanent blackish discoloration of the tooth structure post application of silver diamine fluoride (SDF) is one of its drawbacks. Several restorative materials have been used to restore and mask the blackish discoloration of SDF-treated teeth. Recently, a new self-adhesive material has been introduced and is marketed as an all-in-one etchant, adhesive, and restorative material indicated for use in all clinical situations. This study aimed to assess the shear bond strength of the new self-adhesive restorative material and compare it with adhesive restorative materials- resin-based composite and resin-modified glass ionomer cement to dentin of extracted permanent teeth treated with 38% SDF. Methods: Thirty-nine caries-free extracted teeth (n = 39) were grouped into three groups. Following 38% SDF application, the specimens were loaded with resin-based (Group I), the new self-adhesive restorative material (SDR) Surefil (Group II), and resin-modified glass ionomer cement (RMGIC) (Group III). Shear bond strength (SBS) was calculated, and failure modes were evaluated using the universal testing device (3) Results: The composite showed the highest bond strength, followed by Group II while Group III had the lowest bond strength of all tested materials. Regarding failure type, the composite showed 100% adhesive failure, while Group III and Group II showed mostly adhesive failure with some combination. (4) Conclusions: RBC had a significantly stronger SBS to demineralized dentin surfaces of permanent molar teeth treated with SDF when compared to SDR Surefil and RMGIC.

This randomized clinical trial aimed to evaluate the patient’s preference and chair time needed during pit and fissure sealant placement under three isolation techniques (Isolite system, rubber dam isolation, and cotton roll isolation). Participants, aged 6–15 years and requiring four sealants on the first or second permanent molars, attending the pediatric dental clinics at King Saud University in Saudi Arabia were enrolled according to the inclusion criteria. Each participant received sealants on three random first or second permanent molars using three isolation techniques. The time required for sealant placement was recorded for each technique. Following sealant placement, an interview-based questionnaire was administered to the participants to evaluate their preference regarding the isolation techniques. Forty-eight children (23 male and 25 female) with a mean age of 8.58 ± 1.93 years participated in this study. The mean chair times were 248.14, 255.89, and 243.29 s for the Isolite system, rubber dam isolation, and cotton roll isolation, respectively. Approximately 79% of participants considered cotton roll isolation to be the most comfortable, whereas approximately 71% were significantly less likely to use rubber dam isolation again. In conclusion, there were no significant differences in sealant placement time among the three isolation techniques. However, cotton roll isolation was the technique that was most preferred by the participants.

Objectives: To record the prevalence of dental anomalies in children visiting King Saud Dental Hospital, Riyadh, Saudi Arabia. Materials and Methods: This cross-sectional study involved radiographic examination of children aged 6 to 14 years who visited King Saud Dental Hospital, Riyadh, Saudi Arabia, in the past five years. Four dental interns were trained in three consecutive sessions by a pediatric dentist and evaluated the orthopantomograms of the children. The recorded anomalies were divided into four categories: tooth number, size, position, and general. Descriptive statistics were derived and chi-square tests performed to report prevalence and significance among genders, medical histories, and dental anomalies. The significance level was set at p < 0.05. Results: Of the 1987 radiographs studied, 268 (13.48%) children had dental anomalies. The sample consisted of 51.1% female and 48.5% male children, with a mean age of 11.87 ± 2.1 years. Most study participants had mixed dentition and were healthy. The prevalence of dental anomalies reported in this study was as follows: 4.6% hypodontia, 2.7% ectopic eruption, 1.63% taurodontism, 1.2% infra-occluded molars, 1.1% impacted teeth, 0.75% root dilaceration, and 0.65% supernumerary teeth. Significant correlations were found between gender and ectopic eruption (p = 0.02) and between medical history and hypodontia (p = 0.00), ectopic eruption (p = 0.048), and root dilaceration (p = 0.03). Conclusions: This study showed that hypodontia was the most common dental anomaly, followed by ectopic eruption and taurodontism. The findings of this study may guide dentists in better understanding, diagnosing, and treating dental anomalies in children in Riyadh, Saudi Arabia.

(1) Background: Alkasite is a novel restorative material that has attracted interest in recent years because of its distinctive characteristics, including its high translucency and excellent biocompatibility. It is comparable to glass ionomer cement (GIC) and resin-modified glass ionomer cement (RMGIC) due to its fluoride-release ability and usage in esthetically concerned areas. This study aimed to assess the shear bond strength (SBS) of Alkasite restorative material in comparison with GIC and RMGIC (2) Methods: The study sample included 120 extracted sound primary molars and was randomly split into three groups, including group 1: RMGIC; group 2: Alkasite; and group 3: GIC. Each group was then sub-grouped into immediate and delayed loading. SBS was measured for each group using a universal testing machine. One-way analysis of variance with Tukey’s post hoc test and an independent t-test were used for statistical analyses (3) Results: The immediate SBS was higher in Alkasite, followed by RMGIC and GIC, with means of 10.84 ± 1.96, 10.64 ± 1.74, and 6.09 ± 1.75, respectively. However, there was no significant difference between Alkasite and RMGIC (p = 0.94), whereas RMGIC and Alkasite showed significantly higher values than GIC, with p < 0.0001. Regarding delayed SBS, no significant difference was noted between Alkasite and RMGIC (p = 0.14), whereas both showed significantly higher values than GIC, with mean values of 6.30 ± 1.44, 5.556 ± 1.38, and 3.29 ± 0.61, respectively (p < 0.0001). (4) Conclusions: Our findings show that RMGIC and Alkasite have comparable outcomes to each other and better outcomes when compared with conventional GIC.

Introduction: Conscious sedation (CS) is commonly recommended in pediatric dental clinics to manage uncooperative and anxious patients. Various routes of drug administration have been introduced to achieve effective CS. Among these, the intranasal (IN) route has gained popularity in dentistry due to its non-invasive nature. However, there is currently no comprehensive thematic review analyzing the efficacy and safety of drug regimens delivered via the intranasal route alone or in combination with other administration routes. Therefore, the aim of the present review is to thematically analyze the efficacy and safety of different drug regimens used for conscious sedation delivered through the intranasal route and/or in combination with other routes. Material and Method: This scoping review was conducted and reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) checklist. The protocol was prospectively registered on the Open Science Framework (OSF) prior to data extraction. Predefined inclusion criteria were developed, and five electronic databases were searched. The search identified a total of 239 articles from different databases. After evaluation and removal of duplicates, a total of 54 articles were assessed for full-text eligibility. Finally, 18 articles were included, and data extraction was performed. To develop themes the included articles were imported to the N-vivo software package. Results: Six themes and sixteen subthemes were developed. The major themes were route efficacy and behavioral outcomes, onset of action, patients’ acceptance and tolerance, special needs population, recovery and duration, safety profile and adverse events. Conclusion: Combined intranasal and oral conscious sedation is a generally safe and well-accepted approach in pediatric dentistry, but variations in recovery time, patient acceptance, and adverse events necessitate individualized sedation strategies.